Page 14, line 38, leave out "its public" and insert "any public constituency and (if there is one) of the patients'"

THE EARL HOWE
THE BARONESS NOAKES

263

Leave out Clause 36

Clause 37

THE EARL HOWE
THE BARONESS NOAKES

264*

Leave out Clause 37

Schedule 5

THE LORD WARNER

265*

Page 130, line 30, after second "the" insert "board of governors and board of directors of the"

Schedule 5

THE LORD WARNER

266*

Page 130, line 33, leave out "the trust and" and insert "the board of governors and board of directors of the trust and to"

267*

Page 130, line 37, leave out "trust" and insert "directors"

THE EARL HOWE
THE BARONESS NOAKES

268*

Leave out Schedule 5

Clause 38

THE EARL HOWE
THE BARONESS NOAKES

269*

Leave out Clause 38

Clause 39

THE LORD WARNER

270*

Page 15, leave out lines 16 to 18

THE EARL HOWE
THE BARONESS NOAKES

271*

Leave out Clause 39

Schedule 6

THE EARL HOWE
THE BARONESS NOAKES

272

Page 132, line 13, leave out paragraph (a) and insert

"(a)

a person appointed as chairman by the body specified in section 183(2B),"

273

Page 132, line 16, leave out "Secretary of State" and insert "body specified in section 183(2B)"

274

Page 133, line 13, leave out "Secretary of State may determine" and insert "CHAI may determine with the approval of the Secretary of State"

275

Page 133, line 14, leave out from the beginning to "pay" and insert " The CHAI may, with the approval of the Secretary of State,"

276

Page 133, line 15, leave out "the Secretary of State" and insert "it"

277

Page 134, line 29, leave out sub-paragraph (5) and insert

"(5)

The CHAI may borrow money other than as mentioned in this paragraph up to a limit of its annual expenditure for the previous year as shown in its annual accounts less any amounts outstanding in respect of loans advanced under this paragraph."

Schedule 7

THE EARL HOWE
THE BARONESS NOAKES

278

Page 135, line 29, leave out "Secretary of State" and insert "body specified in section 183(2C)"

279

Page 136, line 11, leave out "Secretary of State may determine" and insert "CSCI may determine with the approval of the Secretary of State"

280

Page 136, line 12, leave out from beginning to "pay" and insert "The CHAI may, with the approval of the Secretary of State,"

281

Page 136, line 13, leave out "the Secretary of State" and insert "it"

282

Page 137, line 23, leave out sub-paragraph (3) and insert

"(3)

The CSCI may borrow money other than as mentioned in this paragraph up to a limit of its annual expenditure for the previous year as shown in its annual accounts less any amounts outstanding in respect of loans advanced under this paragraph."

Clause 44

THE LORD CLEMENT-JONES
THE BARONESS BARKER

283*

Page 16, line 20, at end insert "; and

(c)

services to support independent living and rehabilitation"

After Clause 44

THE EARL HOWE
THE BARONESS NOAKES

284

Insert the following new Clause

"Standards

(1)

The CHAI stall be the principal guardian of standards in the NHS and shall prepare and publish standards in relation to the provision of health care by and for English NHS bodies, Welsh NHS bodies and cross-border SHAs.

(2)

The CHAI must keep the standards under review and shall publish amended standards whenever it considers it appropriate.

(3)

The CHAI must consult the Secretary of State, the Assembly and such other persons as it considers appropriate before publishing a statement or amended statement under this section.

(4)

The standards set out in statements under this section are to be taken into account by every English NHS body, every Welsh NHS body and every cross-border SHA in discharging its duty under section 45."

Clause 45

THE LORD PEYTON OF YEOVIL

285

Page 16, line 24, leave out "may" and insert "must"

THE EARL HOWE
THE BARONESS NOAKES

286

Page 16, line 26, at end insert

"( )

The matters covered by standards under this section shall

(a)

deal only with those matters which the Secretary of State considers to be of considerable significance to health care in England; and

(b)

shall not deal with matters of detail which shall be left to the discretion of CHAI."

THE LORD PEYTON OF YEOVIL

287

Page 16, line 29, leave out "he considers" and insert "are"

THE EARL HOWE
THE BARONESS NOAKES

288

Leave out Clause 45

Clause 46

THE EARL HOWE
THE BARONESS NOAKES

289

Page 17, line 3, at end insert "other than health care provided by English NHS bodies"

Clause 47

THE LORD PEYTON OF YEOVIL

290

Page 17, line 17, leave out subsection (1)

THE LORD WARNER

291*

Page 17, line 23, at end insert

"( )

the availability and quality of information provided to the public about the health care;"

the implementation of any guidance issued by a Special Health Authority set up to provide guidance on health technologies and the clinical management of specific conditions"

THE LORD CLEMENT-JONES
THE BARONESS BARKER

294*

Page 17, line 28, at end insert "; and

( )

the availability of and access to specialist services"

THE BARONESS FINLAY OF LLANDAFF

295*

Page 17, line 28, at end insert

"( )

the equity in provision of healthcare; and

( )

the implementation of ethical principles in decision making processes"

Clause 48

THE EARL HOWE
THE BARONESS NOAKES

296

Page 17, line 31, at end insert "including the publication of data for the purpose of monitoring the performance of the Department of Health against its Public Service Agreements"

Clause 49

THE EARL HOWE
THE BARONESS NOAKES

297

Page 17, line 37, after "rating" insert ", in a form to be determined by the CHAI,"

298

Page 17, line 39, leave out "and approved by the Secretary of State"

THE LORD WARNER

299*

Page 18, line 10, at end insert

"( )

The Secretary of State may, after consulting the CHAI, by regulations make provision as to the procedure to be followed in respect of the making of representations to the CHAI before the award of a performance rating under this section."

Clause 50

THE BARONESS FINLAY OF LLANDAFF

300*

Page 18, line 17, at end insert

"( )

the implementation of NICE guidance"

THE LORD WARNER

301*

Page 18, line 38, at end insert

"( )

The Secretary of State may, after consulting the CHAI, by regulations make provision as to the procedure to be followed in respect of the making of representations to the CHAI before the publication of a report under this section."

Clause 51

THE EARL HOWE
THE BARONESS NOAKES

302

Page 19, line 10, leave out subsection (4)

THE LORD WARNER

303*

Page 19, line 25, at end insert

"( )

The Secretary of State may, after consulting the CHAI, by regulations make provision as to the procedure to be followed in respect of the making of representations to the CHAI before the publication of a report under this section."

THE EARL HOWE
THE BARONESS NOAKES

304

Page 19, line 26, leave out "Secretary of State may by regulations" and insert "CHAI may"